| Brent D. Pulley Dmd, Ltd | |
|
1442 E Chandler Blvd Ste 110 Phoenix AZ 85048-6265 | |
| (480) 460-1911 | |
| Not Available |
| Full Name | Brent D. Pulley Dmd, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1442 E Chandler Blvd Ste 110, Phoenix, Arizona |
| Authorized Official Name and Position | Ronald M Flores (OFFICE MANAGER) |
| Authorized Official Contact | 6027433650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent D. Pulley Dmd, Ltd 1442 E Chandler Blvd Ste 110 Phoenix AZ 85048-6265 Ph: (480) 460-1911 | Brent D. Pulley Dmd, Ltd 1442 E Chandler Blvd Ste 110 Phoenix AZ 85048-6265 Ph: (480) 460-1911 |
| NPI Number | 1356811772 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356811772 | NPI | - | NPPES |
| 1619073699 | Other | NPI INDIVIDUAL | |
| 1922488113 | Other | ASSOCIATE'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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